Outpatient Registered Nurse - RN

Fresenius Medical Care•Marion, SC
•Onsite

About The Position

The Outpatient Registered Nurse (RN) CAP 1 is an entry-level designation in Fresenius Kidney Care’s Clinical Advancement Program. The RN is accountable for providing and coordinating clinically competent care—including assessment, planning, intervention, and evaluation—for an assigned group of patients. The role may include delegating appropriate tasks to RNs, LVN/LPNs, and Patient Care Technicians. As a member of the End Stage Kidney Disease (ESKD) health care team, the RN participates in decision-making, patient teaching, leadership functions, and quality improvement activities to support patient outcomes and facility operations. All duties must be performed in accordance with Fresenius Kidney Care policies, procedures, nursing practice standards, and applicable state and federal regulations. The RN performs essential functions under the direction of the Supervisor, with guidance from a Clinical Educator or Preceptor, or in collaboration with other Registered Nurses. The position requires direct patient care and may include oversight of Patient Care Technicians, LPNs/LVNs, or RNs as a Team Leader or designated Nurse in Charge after specified training and experience requirements are met. The work takes place in a health care facility with controlled air temperature and moderate noise levels. Direct patient care regularly involves heavy lifting, moving patients, and assisting with ambulation. The role also involves frequent, prolonged standing and bending, and may require travel to training sites or other facilities.

Requirements

  • Graduate of an accredited School of Nursing.
  • Current appropriate state licensure and ability to meet practice requirements in the state of employment.
  • Current CPR BLS certification or successful completion of CPR BLS certification.
  • Entry-level designation for RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse.
  • Complete all Fresenius Kidney Care education and training requirements for new employees before assigned oversight duties.
  • For assigned oversight duties, at least 9 months of experience as an RN and at least 3 months of experience in chronic or acute hemodialysis as an RN.
  • Ability to perform the physical demands of the position, including frequent prolonged standing and bending, patient handling and ambulation assistance, and occasional assisted movement of equipment or lifting of specified loads.
  • May be required to travel to training sites or other facilities.

Nice To Haves

  • Chronic or acute hemodialysis experience is preferred.

Responsibilities

  • Collect and analyze patient data before, during, and after hemodialysis treatment; document findings, adjust or modify treatment plans as indicated, and notify appropriate clinical staff or physicians as needed.
  • Assess and document patients’ and families’ basic learning needs and provide initial and ongoing education.
  • Coordinate and provide, with direct and ancillary patient care staff, the daily safe and effective delivery of hemodialysis therapy to assigned patients.
  • Administer prescribed medications or medications in accordance with approved algorithms, and document medical justification and effectiveness.
  • Initiate or assist with emergency response measures.
  • Serve as a resource for the health care team and participate in staff training and orientation of new staff as assigned.
  • Ensure correct laboratory collection, processing, and shipping procedures; reschedule missed or insufficient collections.
  • Identify expected outcomes and document and update nursing assessments and plans of care in collaboration with the Interdisciplinary Team.
  • Ensure patients are aware of transplant and treatment modality options.
  • Complete Clinical Advancement Program (CAP) requirements to advance.
  • Perform other duties assigned by the Supervisor.
  • Provide oversight of Patient Care Technicians, LPNs/LVNs, or RNs as a Team Leader or designated Nurse in Charge when the stated training and experience requirements are met.
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